|
FUND: L481U
|
DEPT
ID:
|
PROJECT/GRANT:
|
DATE: |
| PREPARED BY: |
DEPT:
|
EXT/FAX:
|
MAIL
DROP:
|
| ACCOUNT USE DESCRIPTION: | TO EXPEND LOTTERY FUNDS |
| SOURCE OF REVENUE: | LOTTERY ALLOCATION FROM THE CHANCELLOR'S OFFICE |
| EXPENDITURE CATEGORIES: | ALLOWABLE LOTTERY EXPENDITURES PER CSU GENERAL GUIDELINES |
| THIS ACCOUNT IS TO REMAIN ACTIVE: | INDEFINITELY |
| SHOULD THIS ACCOUNT NO LONGER BE USED, FUNDS WILL REVERT TO THE FOLLOWING: | |
|
FUND: L481U
|
DEPARTMENT
ID:* 99999
|
PROJECT
/ GRANT: DISCRETIONARY
|
|
RESPONSIBLE PERSON: (Individual responsible
for maintaining account solvency). |
||
| NAME: | TITLE: |
|
| SPECIAL CONDITIONS: | ||
|
1. Individuals
(at least two), authorized to approve expenditures or request disbursements from this account. |
|||
| NAME: | NAME: | ||
|
TITLE: |
FINANCIAL MANAGER |
TITLE: |
|
| SIGNATURE: _______________________________ | SIGNATURE: _________________________________ | ||
| NAME: | NAME: | ||
| TITLE: | TITLE: | ||
| SIGNATURE: ______________________________ | SIGNATURE: _________________________________ | ||
|
DIRECTOR/DEAN APPROVAL: _______________________________________________
|
DATE: ________________ |
| THE ADMINISTRATION SERVICE CHARGE OF 2.75% IS NOT LEIVED ON LOTTERY FUNDS. | |
|
** Accounting Use Only **
|
|
| TRUST ACCOUNTING APPROVAL: _________________________________________________________ | DATE:_________________ |
| (1/9/2009) | |